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Civil and Environmental Engineering Department at the University of Massachusetts Amherst 130 Natural Resources Rd, Marston Hall Room 142B, UMass, Amherst, MA 01003 Tel. 413-545-0724
CERTIFICATE IN TRANSIT OPERATIONS AND MANAGEMENT Certificate Application Form
Name: SPIRE ID: UMass email: Local Address: Phone: Permanent Address: Phone: Current UMass degree program/department: Advisor (name/department): Circle one: Undergraduate Graduate Coursework taken (course number, title, semester, and grade): 1. 2. 3. 4. 5.
Internship
Dates: Signatures of supervisors:
Attach a brief, 3 page minimum summary of your internship experience. Include number of hours, tasks, supervisor, and a reflection on the relevance to your major, the certificate program, and future career
applications.
A copy of the completed application and supporting documents should be emailed or mailed to the Transportation Engineering Program Coordinator:
Eric Gonzales 130 Natural Resources Road, UMass
142B Marston Hall Amherst, MA 01003-0724
Student’s signature: Date form submitted: